Response

ROGEL BERT A. BAILLO

 START (Simple triage and Rapid
Transport ) triage system
• This system is the most commonly used triage system in the United
States.
• This system is also used in Canada and parts of Australia and the
Israeli-occupied territories.
• It was created by the Newport Beach Fire Department and Hoag
Hospital in California in 1980.
• In this system, all injured adults older than 8 years are evaluated,
based on the algorithm of the system in 60 seconds or less
(preferably 30 seconds).
• In this system, the criteria including the ability to walk, respiratory
rate, capillary filling, radial pulse and obeying the commands are
used.
• By examining each criterion, the patient will be marked by one of
the red, yellow, green and black tags
STRAT Triage Framework
 M START (Modified)
• Since the capillary filling criterion in the dark
and cold environments in emergencies and
disasters is not an appropriate reflection of
the circulatory system, this criterion has been
omitted in the modified model of the triage
system.
MSTART Framework
 Reverse Triage
• Reverse triage is a method that is commonly used during
emergencies and disasters.
• In reverse triage, injured people with fewer damages and minor
injuries are at the priority of receiving services.
• This is also used in cases, where the treatment team or soldiers,
during the war, are injured.
• Moreover, this kind of triage system is used in the disaster and
emergencies, where medical resources are limited, with the aim of
returning people as quickly as possible and helping other people.
• Reverse triage is also a way to increase the capacity of the
emergency unit of the hospital during disasters.
• Accordingly, those patients with mild injuries and those supposed
to be without any medical complications for at least 96 hours after
discharge are at the top of the discharge list
 Military Triage
• The main goal of the military triage is to treat and
return more injured soldiers to the battlefield.
• In this method, immediate and rapid classification of
the injured people is based on the type and severity of
the injury, the probability of survival, as well as the
priority of treatment in order to provide the best
health care services for the largest number of people.
• Most military triage systems use T (Treatment) codes
including T1, T2, T3, T4 and dead to classify the injured
individuals, while others use P (Priority) codes
including P1, P2, P3 and P-hold.
 CareFlight Triage
• This method is a tool for rapid triage in mass casualty
incidents, in which such criteria as walking ability,
obeying the commands, palpable radial pulses, and
airway respiration are evaluated.
• The injured people are placed in four urgent (red),
emergency (yellow), delayed (green) and non-
salvageable (black) classes.
• The noteworthy point is that in this method the
criterion of obeying the commands is examined before
the evaluation of breathing and pulse rate. This
method is one of the fastest triage methods, which
takes only 15 seconds to test each patient
CareFlight Triage Framework
Burn Triage
 JumpSTART Triage
• For pediatric patients
• JumpSTART, a pediatric version of START, was
developed at the Miami, Florida Children's
Hospital in 1995 by Dr. Lou Romig.

https://chemm.hhs.gov/StartPediatricTriageAlgorithm.pdf
 JumpSTART

https://chemm.hhs.gov/StartPediatricTriageAlgorithm.pdf
 JumpSTART Framework

https://chemm.hhs.gov/StartPediatricTriageAlgorithm.pdf
 More Triaging here:
• https://bit.ly/3Qm2CXd